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Participant characteristics associated with the effects of a physical and cognitive training program on executive functions
Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Faculty of Social Sciences (Health Sciences) and Gerontology Research Centre, Tampere University, Tampere, Finland; Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society (NVS), Karolinska Institutet, Stockholm, Sweden; Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
NeuroCenter, Department of Neurology, Kuopio University Hospital, Kuopio, Finland.
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2022 (English)In: Frontiers in Aging Neuroscience, E-ISSN 1663-4365, Vol. 14, article id 1038673Article in journal (Refereed) Published
Abstract [en]

Background: Physical and cognitive interventions have been shown to induce positive effects on older adults’ executive functioning. However, since participants with different background characteristics may respond differently to such interventions, we investigated whether training effects on executive functions were associated with sex, training compliance, and age. We also investigated if change in global cognition was associated with physical and cognitive training intervention-induced changes in executive functions.

Methods: Exploratory data from a randomized controlled trial were analyzed. Participants were 70–85-year-old men and women who received a 12-month physical (PT) or physical and cognitive training (PTCT) intervention. Measurements of executive functions related to inhibition (Stroop), set shifting (Trail Making Test B) and updating (Verbal Fluency) were performed at baseline and 12 months. Data were analyzed using a longitudinal linear path model for the two measurements occasion.

Results: Stroop improved significantly more in women and participants in the low compliance subgroup who received PTCT than in counterparts in the PT subgroup (difference –8.758, p = 0.001 and difference –8.405, p = 0.010, respectively). In addition, TMT B improved after the intervention in the low compliance PTCT subgroup and worsened in the corresponding PT subgroup (difference –15.034, p = 0.032). No other significant associations were observed. Conclusion: Executive functions in women and in the participants, who only occasionally engaged in training showed greater improvement after the PTCT than PT intervention. However, the additional extra benefit gained from the PTCT intervention was uniquely expressed in each executive function measured in this study.

Place, publisher, year, edition, pages
Frontiers Media S.A. , 2022. Vol. 14, article id 1038673
Keywords [en]
executive functions, older adults, physical and cognitive training, physical training, training response
National Category
Gerontology, specialising in Medical and Health Sciences
Research subject
Engineering Psychology
Identifiers
URN: urn:nbn:se:ltu:diva-94252DOI: 10.3389/fnagi.2022.1038673ISI: 000881631300001PubMedID: 36389079Scopus ID: 2-s2.0-85141369833OAI: oai:DiVA.org:ltu-94252DiVA, id: diva2:1713487
Funder
EU, Horizon 2020, 675003
Note

Validerad;2022;Nivå 2;2022-11-25 (hanlid);

Funder: Academy of Finland (296843); Ministry of Education and Culture

Available from: 2022-11-25 Created: 2022-11-25 Last updated: 2024-07-04Bibliographically approved

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Stigsdotter Neely, Anna

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